0039/2015 - Caminhada e gastos com saúde em adultos usuários do sistema público de saúde brasileiro: estudo transversal retrospectivo Walking and healthcare expenditures among adult users of the Brazilian public healthcare system: retrospective cross-sectional study
• Jamile Sanches Codogno - CODOGNO, J. S. - UNESP, Educação Física - <jamile_sc@yahoo.com.br>
Área Temática:
Epidemiologia
Resumo:
A inatividade física é um dos maiores desafios à saúde pública devido à sua associação com doenças crônicas e ao impacto econômico sobre o sistema público de saúde. Entretanto, a prática de caminhada pode auxiliar a amenizar esses problemas. Objetivo: Verificar se existem associações entre prática de caminhada no lazer, presença de fatores de risco e gastos relacionados ao uso de serviços de saúde em usuários do sistema público de saúde brasileiro. Metodologia: A amostra foi composta por 963 adultos. A prática de caminhada foi avaliada a partir de questionário de Baecke. Gasto com tratamento/ano foi avaliado pela demanda por serviços registrados nos prontuários clínicos. Resultados: Prática de caminhada como atividade física de lazer foi referida por 64,4% dos participantes. Os grupos de maior prática de caminhada apresentaram menores valores para idade, IMC, CC e gastos com medicamentos. Indivíduos inseridos na categoria de maior envolvimento apresentaram 41% menos chances de estarem inserido no grupo de maior gasto total (OR=0.59; IC95% 0.39-0.89). Conclusão: Verificou-se que a prática de caminhada como atividade física de lazer foi a mais frequente para a maioria dos usuários do SUS, a qual foi associada a menores gastos com medicamentos e total.
Palavras-chave:
Caminhada
Gastos em Saúde
Atenção Primária à Saúde
Abstract:
Physical inactivity is a major public health challenges due to its association with chronic diseases and the economic impact on the public health system. However, the walking practice can help alleviate these problems. Objective: To determine if there are associations between walking practice during leisure-time, presence of risk factors and expenditures related to the use of health services among users of the public healthcare system in Brazil. Methods: The sample consisted of 963 adults. The walking practice was extracted from the Baecke questionnaire. Expenditures with treatment / year were assessed by the demand for services recorded in the clinical records. Results: Walking practice as leisure-time physical activity was reported by 64.4% of participants. The groups with higher frequency of practice showed lower values for age, BMI, WC and medication expenses. Individuals included in the category of higher involvement had 41% less chance of being REPLACEed into the group of highest total spend (OR = 0:59; 95% CI 0.39-0.89). Conclusion: It was found that the practice of walking as leisure-time physical activity was the most common for most users of the public healthcare system, which was associated with lower drug and overall expenditures.
Walking and healthcare expenditures among adult users of the Brazilian public healthcare system: retrospective cross-sectional study
Resumo (abstract):
Physical inactivity is a major public health challenges due to its association with chronic diseases and the economic impact on the public health system. However, the walking practice can help alleviate these problems. Objective: To determine if there are associations between walking practice during leisure-time, presence of risk factors and expenditures related to the use of health services among users of the public healthcare system in Brazil. Methods: The sample consisted of 963 adults. The walking practice was extracted from the Baecke questionnaire. Expenditures with treatment / year were assessed by the demand for services recorded in the clinical records. Results: Walking practice as leisure-time physical activity was reported by 64.4% of participants. The groups with higher frequency of practice showed lower values for age, BMI, WC and medication expenses. Individuals included in the category of higher involvement had 41% less chance of being REPLACEed into the group of highest total spend (OR = 0:59; 95% CI 0.39-0.89). Conclusion: It was found that the practice of walking as leisure-time physical activity was the most common for most users of the public healthcare system, which was associated with lower drug and overall expenditures.
Turi, B. C., Monteiro, Henrique L, Fernandes, R. A., CODOGNO, J. S.. Caminhada e gastos com saúde em adultos usuários do sistema público de saúde brasileiro: estudo transversal retrospectivo. Cien Saude Colet [periódico na internet] (2015/Abr). [Citado em 18/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/caminhada-e-gastos-com-saude-em-adultos-usuarios-do-sistema-publico-de-saude-brasileiro-estudo-transversal-retrospectivo/15104?id=15104
